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240808 (SFD)BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 13L 15" 2ND FL. SQ. FT. @ POR. 133 SQ. FT. @ 1-503 GAR. SQ. FT. @ 4-2 2, CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ �. NOTE: Not to be used as property tax valuation MECHANICAL FEES %/FhIT QVCTCAA NrA AI m FvAP rnnl X1 HOOD EPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. ELECTRICAL FEES !s-20 I UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO ISH) 11 1 APPLIANCE ft7w GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER i KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC 2 WATER CLOSET COMPRESSOR HP 4.POLE, TEMP/PERM 2 LAVATORY S- Div— HEATING SYSTEM I$ FORCED ❑GRAVITY 400 AMPERES SERV ENT SHOWER SOFT @ a 2 BATH TUB 3 CO SQ FT @ a 1 WATER HEATER SOFT RESID @ 1 a i SEWAGE DISPOSAL SQ FT GARAGE @ '/aa 2 16 HOUSE SEWER PERMIT FEE j 3 (* i I TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is I I PERMIT FEE 14 00 ] PERMIT FEE Q(a IT8,0 TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL 2411 81 171.22 19.00 I I X.00 69-00 I 1&% I 1.26 I 3D.00 J I F I M I A M I J I J I A I S 1 O N I D JOB ADDRESS �" �- � � SP NO 52— `600 &Vo_."So OWNER fte i f Tc.s liege tam 73 74 USE OF PERMITr, jw . & . F.C. 001 DATE � 1-10--74 1 PER T N . 75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE 111 I 17.97 Q$ MICROFILM FEE COPIES $ LEGAL DESCRIPTION ! MECHANICAL FEE DBL $ SETBACK L T512E ZONE USE NO. GRP CK BY TYPEIt tin F20 S R I I PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INS PE OR I J I CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 00 nedt of Callfwala ELECTRICAL FEE DBL $ ADDRESS CITY STATE califii SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12XD4&YS. CESSA• TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC. $ FEE CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. DBL PLUMBING FEE $ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. $ OWNER/AGENT'S SIGNATURECONTRACTOR 4' 'o-- TOTAL FEES 17,277 -- CASH 0 CHECK M.O. ❑ N.C. ❑ ADDRESS ADDRESS RECEIVED BY r TREES REQUIRED ��! = CIT 21P CODE CITY 21P CODE SEWAGE SYSTEM T LL P INFORMATION 1 TEL. NO. TEL. NO. LICENSE FORM 284-2081Rev. 9.73, OPs I . . n-11 — -1-1 INPqA"CWAal%' 'L)'� 'G_ PERMIT BU iiiIING-PERMIT DEPARTMENT OF BUILDING & SAFE FIELD .7y COUNTY OF RIVERSIDE bs CONSTRUCTION ESTIMATE N0. ELECTRICAL FEES NO. PLUMBING FEES . j."t ISTFL.� 1176 1 5 T FL.' SO.Fl. a LIM 15.785.20 UNITS --.2r4D 2r.4D.'FL. SO. FI. a- BOILER B.T.U. (IOR.' 133 ..FOR 50. FT. @ 2.1 332, % MOBILEHOME SVC BAR SINK 437 so. Ff. 0 4.2 1.&W,25 POWER CUTLET ROOF DRAINS CAR P.' SQ.Fl. 0— DRAINAGE PIPING WALL so. Fr. @ DRINKING FOUNTAIN SO. FT. 0 URINAL ESTIMATED CONSTRUCTION VALUATION is WATER PIPING 1 4 150, NOTE: Not to be used as properly tax volucii tan SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Swim POOL. COMM WATER SOFTENER VENT SYSTEM IXFAN 0 EVAP. COOL X) HOOD SIGN I WASHER iAUTOfplSHI SM APPLIANCE DC7= 3 00 1 GARBAGE DISPOSAL FURNACE OUNII OWALL OFLOOR OSUSPIENDED LAUNDRY TRAY AIR HANDLING UNIT I CFA% IDLE METER I KITCHEN SINK I ABSORPTION SYSTEM TEMP USE PERM SVC 2 WATER CLOSET 3 1w. COMPRESSOR �� vip 4 00 POLE-TEMP/PERM 2 LAVATORY 3 Q0 - HEMINGSYSTEM QkFORCED OGRAVITY 4 C* AMPERES SERV ENT 1 00 SHOWER SQ Fr 0 c 2 BATH TUB SOFT 0 4 1 WAIERHfAIE;t • SOFTRESID @ 14: 111 78 1 SEWAGE DISPOSAL Ila 00, SO FT GARAGE 0 '/,c in HOUSESEWER'_ PERMIT FEE 3 TEMP ELEC SVC GAS PIPING -9080 HOME PERMIT FEE 5 PERmJT FEE 4 001 11 PERMIT FEE 2 M, TOT&FEES 05. "M. ft "ROFEE UZZ70-ii AL CK FEE CONST. FEE ELECT. FEE SMI FEE FEEI PLU; th.2. r 1.9 1081] 00 fi .g. m18.45 IDOL.I I . 26 I JOS ADDRESSS�.O OWNER 52-780 AM. Rim I PaltifICA 7T 77%�.- i USEOf PERwrr F C. ATE & =age 1 001 ID 1-10-7 b808� "M H,'PERMIT FEE $ COMMUUTTY OST UNITS ROOMS VALUATION ISUPP. TO PERMIT OFFICE MIMF.ILM.FEE COPIES S LEGAL DESCRIPTION '2!1 0% 4% v I% -HANICAL FEE MEC DBL lot -ll rim -141-n SET ZONE 17 USE NO. — GRP — TYPE CK BY' F is JR16 S-7 I PLAN CHECK FEE S 00 Bono "t PLAN NO PLAN CHECKER FINAL DATE INSPECTOR 1 -41A AA J CQ'tSTRUCTION FEE DBL S NAME OF CONST LENDER BRANCH OFFICE No LEN D -rJECTRICAL FEE DBL $ Ab"Ess CITY STATE SMI F.kE b THIS PERMIT SHALL BECOME VOID IF WORK Is NOT COMMENCED WITHIN I 70'MS. CESSA- TION Of WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT To BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH TH15 PERMIT WILL BE DON INAC--' FEE CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, ALSO AGREE TO CARRY THIHE.'.�% COMPENSATIONCOMPLIANCE• ' INSURANCE UPON MY EMPLOYEES. CO LUMBttVG FEE. DOL SLAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS 15 ALSO GVA*NYEED�., I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS ANDSKCIfi TIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE C OF IKE STATE 2f SAJIFORNIA *wNERtA4ENrs spamAruntRA Cola Cl- 'TREES REQUIP A ­ '0 ;nz- Cl '0" I . . n-11 — -1-1 INPqA"CWAal%' ' •:dUILDTNti.P�lMJT DEPARTMENT OF BUILDING BcSAFETY HEADQUARTERS`• '�•�'�� `"''••- '':.'t : J COUNTY OF RIVERSIDE , oT CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES:.',•..'L1:': SO.FT. ® UNITS t-'-� kEND Fl ' ° SO. FT. ® BOILER L� B.T.U. yl' r"(1 •, rPOftti,: SO, FT. ® MOBILEHOMESVC, BARSINK :C+l1R: j SQ.Fi, POWER OUTLET ROOF DRAINS :CLLR P.' SOFT. a:T ® DRAINAGE PIPING, r DRINKING FOUNTAIN $0. Fi. ® T �Pd JURINAL;'r ; . i -•.. SO. FT. ® < ES TIMATEOCONSTRUCTIONVALUATION S 17 975.00 1'WATERPIPING I: }:y^�NOTE: Not.to LTe'lised as property talc valuation ' SWIM POOL, PVT BOOR DRAIN MECHANICAL FEES SWIM POOL, COMM wATERSOFTENER YENT SYSTEM ®FAN '• ❑ EVAP. COOL }D HOOD 5' 0' SIGN 1 WASHERMUTO ISH). 3' O !� APPLIANCE Dryer 3 0 L GARBAGE DISPOSAL ?s�;i,• FURNACE, ❑UNIT ❑ WALL ❑ FLOOR ❑ 5USPENDEO :LAUNDRY TRAY AIR t1ANDlING UNR r CFM IDLE METER L KITCHEN SINK - 0 1 ABSORPI[ONSYSrEM' TEMP USE PERM SVC 2 WATEROOSET 3 O �e,.i �:. • COMPRESSOR ] HP 4 0 POLE TEMP/PERM 2 LAVATORY 3 HEATING SYSTEM• ®FORCED ef: ❑ GRAVITY 4 Q AMPERES SERV ENT 1 00 SHOWER SOFT 0 a 2 BATH TUB SOFT 0 a 1 WATER HEATER f i SO FT RESID 0 It 11 78 1 SEWAGE DISPOSAL •- tt t:;T '• SO FT GARAGE 0%, Z •.L8 HOUSE SEWER '+ PERMITFEE•.-;' ';; 3 Q TEMP ELECSVC GAS PIPING '-.T1,,M061LE HOME PERMIT FEE': s' PER 11 FEE !{ OO 1 PETtMtT FEE t •P R `: -TOTAL FEES •• M09. HLL fj5 MICRO FEE MECH. FEE OBL PL CK. FEE CONST, FEE OBL_ ELECT. FEE IDGIL15MIFEE. FEE PLUM!..FEE-:. jDeL.P. 19.00 34.00 68.00 8.96 1.26 30 Od' Y ' ' +� (! � 1 J A S N JOB ADDRESS i SP No OWNER 7a 52-780 Ave,Diaz t 'c _7a, USE OF PERMIT ,.i FC. DATE P 17 0 is;• `^ '-?s'`''I I IDW1 & att. arae 00 1-10-74: n ' M Fi: PERMIT FEE. 3 COMMUNITY DST UNITS R00M5 VALUAI ION SUPP. TO PERMF1111 .I"•' r j•.':. La uinta 11 1 0 r• MICROFILM FEE COPIES E LEcrtDfiscaIPnoN i'• Lot 2 janta CarEoplita 1k 17 Ton 77 1- I nm MECTiANICAL FEE DBL S SET BACK LOT SIZE ZONE USE NO. GRP TYPE - CR BY 19 .00 `20 5 5-7 i6 - PLAN CHECK FEE 5 BOND AMT. PLAN NO PUN CHECKER FINAL DATE INSPECTOR 34 00 t' •,CONSTRUCTION FEE DBL. ° S:�M68 p r•L � �• � _• •• L/Q HANE of CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED - • CCB Bank of California ELECTRICAL FEE ' ' DBL ' $ ADDRESS �i,•',•�� CITY STATE 1$ 96 Encino Calif. SMI FEE,; $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT'COMMENCED WITHIN W16DAYS. CESSA• I ' •r ,•�S„ 1 26 TION OF WORK FOR 12D DAYS SHALL A150 CAUSE PERMIT TO BECOME VOID, 60 t I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BEGONE IN AC. ' . 3 CORDANCE WITH THE LAWS OF RIVERSIDE, COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY- EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS 15 ALSO GUARANTEED, PLUMBING FEE' OBL S• I HEREBY CERTIFY THAT THE. INDIVIDUAL WHO PREPARED.THE PLANS AND -SPECIFICATIONS. ' ��,,�`'`, 30 OO . HAS DONE SO IN,ACCORDANCE WITH SECTION 5541 OFTHE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA: YIA �' r • •�: - �l `-�T�•,� .. OWNER/AGENT'S SIGNATURE CONTRACTOR"•.FES• =Pac'ifica:Wesrerri:' _ `•� -.ir.CAs!4�•O..a'�/t:.<,• .CHECK ®; _ (hl'o.�.17 °t`1 Cr'D,�.:� � ,,V, ..... , � ', `` � �eac)�?'���P•1:. i • .t.:, : _ ��!, S� _ -'`•.i,Titi•�-:.. • ,.,: _ ADDRESS,' �:. .. - ice. -.t F�FLYjD:BYy'TREESRFOUy r .11, "'•°: ':?� "1.`�i:: ;ate i • wY - • t �17Y'✓( •.T 41 COO • CITY' -r•c:: ' �.US`;,: ',:'.�1M c'p DEP:. •J %� ,)r,�ry:•u:,. uw�1. �;`(:". '.�%'f..�•''!` ' .r.�r' I•. t. '^ui::r.. .r.: •i.,:r,,.C: :! 'A •9' .•1% '" ,,,ter,. ':�F v)' `•`�r`%• ) ..t, ;4� n,`i;•.J,.i= •:✓.•: s. i' �i t '.i,: :<•. J. : )' < �';:'.�.:' :'• ':. er _�' <.:� •tt...'!�'111):.' vJ 7�.4iJ't•': •.:• <,Y, irs 'F?0. �8ifi•, cT,.r 1l';t ... 'P= : '1:% '.'f.tL� a` L).: ,ti :�_: -'i T,'`4�_�atf ••1:` 1, 4.. -,1`i <' � r:": .' : <._ i�?•, :.T• 1, � , .`,' "5�i lT. 1'f S 1 '4 t tR �;' :IN' ,q.�,a P•�+n �.`7(�'•r6 .,tti,. llTidTr.7iaiLl�o:•t ll r:.. 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T' � i f ZJ�j��i F+,, 1 . •. ! f . a r7 t ►-t .-+,, ��'': !'a�'��•a't-1t� ar111 f ��a �� . ,.�a- l� r; �, ,• rl �r ��'�n �, t�1�#1��''rr",1r' _� � �`' � •1 'M f� T`. .•• ���.., a �j�ir • L a � 'L � �� 1 ♦ ' 1 1 . ! 1 �. .r �5 �f��. ► 11 [[' ti •Iti;��r��'a ( :ti �' ,ti� . ,_I♦ a 1• t.. ! 'r, ►�t ♦ ��. ,� �r � � ♦� ti�. �-Sr1�(j, y,_ r 4- *, S. �� �.��' �i .�':S' r t �1t .,�' .} tyj,•}�111a �,'�ri�yf.� rL,'1`, ' tei��'�'+.'Fr .1 S a 4y1�RIZ .�i r: t} {♦. i I ti_J � to Cr' 1} t , l at '+i•+r t .�� r 2 �+♦ 1 r 4 �,Y r + , S • �a i ♦ ♦v �i . . ,t ► �l � 11� �l ►_. r'�S ++ , ti\` SIR I 1 �Nj 'RAl ti r. �.tS•. \ L,•a� -t . •-, cS, .a r4t ~1 ,%$,4 1rRa t''�\r 1:.1 i,4i�� i t' rt.,►r,a� + ,., ,,ra 1gr Y,� y ��� . i -+' ` -A . R 1 a F ! � r4� r.t ., . . ': <<! • ,�,t•R•-I` `r+1►,j1 �`t �•• i^t, aL •�.' yrN i' �r a?1 a,a(��al I,�I♦� 'r.r•t' �i�� � 1 ,+� �, • ♦ • I r•J I �ti a, �` •:' j'Y '•f r►++ ,7 r`' .�� ��'~ LI `�� I` % �'�+fir' r �' ��t r •^ ` +tib l r� - S�•',. iy ,5•.y R�,J. . � . .rid , .�.` I: , , ` � Nd �1 41 �• . 1 .1 � i � •, '. , , R � • ; � a r � r _ • it • J , � l • V ' A • • I,p 040, � F■ 1 6 y Rar•!•• +�N :''RIVERSIDE ."COUNTY:; DXP.ARTMENT-:OF' BUU.DiNG AND SAFEiY ' -.'CORRECTION NOTICE :'. To: Permit No. • .Add: _;Q"T� �� ' Date: l -GROUND PLUMBING -- U.P.C., 1910 EDITION / Approved plarks shall be'on job for inspection. (U. B.C. 302). 2. Toilet facilities s on site.12-311T. ealth & Safety Code). _ 3. Post job card. (U.B.C. 304). 4. Replace' cracked fitting at (309). S. Support soil, pipe each joint ( ), continuous ( - ). (316). 6. Closet bend to extend- minimum floor level. (805). v. 7. -Off set plumbing out pf bearing footing. (315). a 8. Fill soil pipe with water for testing.. (318). 9. Stop leaks on line. (318). 10. Improper,"unapproved fittings on line. (405 and 310).. It. Minimum. 114" per, foot grade required on line. (407)- 12. Gas line not permitted under slab. (1213-b).' 13- Pipe shall not be installed it a strained position. (503), (1205). 14. All horizontal vents required to drain to fixture it serves. (505). 15. Total vent area to be equal to building drain. (504). 16. Cleanouts to grade. (406), ; FOOTING AND FORM INSPECTION--U.B.C., 1910 EDITION 1. Approved plans shall be on. job for inspection. (302). 2. Provide legal lot stakes. (301 and 304), 3. Foundation footing to be 12 inches - 18 inches into undisturbed soil and 12 inches - 15 inches wide. (2905). '*f 4. Regrade and compact fill, minimum thickness of concrete floor. 31A Inches. (2629). rr . 5. .Fireplace footing to be 12 inches larger each dimension than fireplace. (2975), 6. Interior bearing footings to -be 12 inches into undisturbed soil; width, minimum 12 5 inches. (2905). - 7. Pier footings minimum 14 inches square, depth 8 inches. (Chapt. 29). int S. .Forms shall conform to plan; tied and braced, (2607). r 9. Minimum foundation height 6 Inches above finish grade. (2905).' '(2608). rS; 10. Re -bar shall be tied in place. 1.1. Provide footing.for veneer. Brick ( ), Rock (' ). (3006). r 12. Water piping on branch to too small. (1009 U.P.G.) -�' 13. Gas piping not permitted under slab. (1213-b U.P.C.). ;y 14. Mastic required on all metallic plpes where they come through sleb'or footings. (315 U.P.C.). 15. Form shall be in place for tub trap recess, It shall be poured monolithic. (803 U.P.C.).. ' 16. Post job card. (U.B.C. 304), ;. 17- Job not ready for Inspection. w INSPECTOR .::- '= CORRECT 'rHE• A10VE CIRCLED ITEMS AND'C+i►LL FGR; R�114iPECT Ok. . w 284-233 REY.6/70 :�I •, Permit Copy f ': ,Department of. Building. and Safety COUNTY . OF RIVERSIDE ` TO:.P.�t'Cc Fi e�} W ESWL -/P , fV 'Dist. - ADDRESS: Dist.ADDRESS: d2 ,-7-fG A E. ? Date CORRECTION NOTICE Permit No.- 12 60 ga. .�. � 284�205�•, Permit Copy Department'of Building and .Safety . COUNTY. OF RIVERSIDE i� 7.'.'.... i�l•' 4•�•I• .�' ,4 ? NOTICEk TNiS `IS NOT fA BUILDING; PERMITOffl Dist cc %% �Y•`' APPLICATIOtI '•TO ,CQlVSTRUCT.'• '::i*' t••,• ::'.�" ;< DEPARTMEXT OF BUIL0iNO ANO SAFETY Permit No :. t%' •' `�,� � � •��• • � COUNYY :Ord �•ItIVERSIpE :,.• �:sa�• `Y,, owner • _Bi ii4 4 c4, Ve ttextil Architect Coirtiactor Addrrss :ibo ;%aWi'�' 81� Addresi Addrgsit Cil y t!lnian-. city__:. City Pitons PhoriP Phone ' :' �: •' ! ,'y w ., I (wei Iho undersigned, hereby certify and acknowledge 11no1.1 {wet have caad' the application and agree that il• Curb and Gutter, and' +' Paving,'w4lor Dedication of right of way Is requlroif•by,tKo:Couitty of Riverside, the-Riversklo'Couhty Department of'lluildino and,Satety, shall not make a Flnitl I ' � `' i .�:,:•„ ." �, rnspection until sold regirtiamerrts'hravo„bean ,teat. I-am also aware tlut no work to Bono within the Couhty, R/W.• O., Without an emra chment permit. :''• • a.',`,' _ NOW, therefore, It is agreed that 1 (we)i- 'Wii not I, o,4nrPy•"id properly and'wlll not'csuso sifd prOpertytO.bo oeeupled until I (we),twve '` b •• • complied with all laws of the County of Riverslde and the' State.of California governing said property.' DATE 12_20-73 SIGNATURE OF OWN, .ER. 11 f Approval by.Sipnaiure Irani tEie Following DepartmntseListed.,Below r ;•_�:.,': Must Be Obtained Piier.to.the I- ng.of,a,Can-shmetion.Pwmit., , -` USE OF. STRUCTURE LOCATION' OFJOB kY.wax SINGLE FAMILY ❑ -DUPLEX ❑'' LEGAL DESCRIPTION OF PROPERTY LDi 7 APARTMENTS [] AGRIC ltlock 17O :z;F-• + '. : o'w amara” .a�lita1Z.•� PC�773- ,• .-fi =; Q., COMMERCIAL , [] INDUSTRIAL .COMMUNITY ALTERATIONS El* ;• Z NO, OF SUBMITTED PLANS TYPE OF CONSTRUCTION —."t R r1, N'Q CASE NO. ;:tee­..=." =. 17.:.: •. z'' OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING :ZONE 1-3 SETBACKS FRONT_ %a SIDE __ Z REAR - :_,,ORAPING:PE iAlT: REOUIRED YES Q NO ❑- _ K ORDINANCE OF FEEY REQUIRED ON RE c s:- g!;Ji ±`•.QATE%lr-�J__ .� SIGNATURE OF LAND USE OFFICIAL DEDICATION"REQUIRED; YES, ❑ NO 0 NO. OF FEET t ;•r?' w`.: CURB -AND GUTTER REQUIRED: -YES [I NO (]REET E ABOVE CONSTRUCT! r r :'i•t�'-::' THE ON? 'YES 0 NO 0 c `CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES 0 NO 0 ;,; �;;;;,". :;�,• ACCEPTABLEAP�TION BEEN MAGE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES NO p ---• � , .1y � ,� - - O°' :'DAT ' __ • SIGNATURE OF ROAD DEPT.FFiC(AL`'' P SWIMMING.POOL5 P U 8 L I C 771 `�''� �i ii .s ; : '.: •, ,.,.;'SEWAGE F.00D'ESTABLISHMENY ,. '�'c,�1 ;,y 1. �',Yj•`il(��' 'WATER 'P OL LUTION, Rl:faARKS FLOOD•;ONTROL ; At• :p0 LUTION i I' �'�.>y ',•,",'` `r min �, t`� ;3.-. ,•tiz , W 'l :•Y - j" • r. N' 5 I Jn ;;S•- .t /�1 �1 :J- ... ���fi�� ra , C••.... .. .. , •_... , . .. , . , _ ,.. . ,.,.. - .• .. ''i: :--"' ..•;YDU'�2;SPROPETR.Y•_Yr"MA}SG••B�,SfIgSEGT_�O, 'i